NPI | 1699060921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016906) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013922) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2016-10-05 |